Mentalhealthservices as part of pediatric primary care improves mentalhealthcare engagement for children The_BMC jamanetworkopen
These outcomes were calculated conditional on having an ED visit or hospitalization and, thus, had different denominators compared with other study outcomes.Sample characteristics at baseline were summarized using descriptive statistics and standardized differences.
We conducted robustness checks and subgroup analyses. First, to test for parallel trends in outcomes between groups before implementation, we examined the interaction between linear quarter and TEAM UP status in the preperiod. Second, we conducted subgroup analyses by age group. Statistical significance was set at 2-sided< .05. SAS statistical software version 9.4 and Stata statistical software version 16 were used for analyses. Data were analyzed in July 2022.
Separately, MH service use decreased, on average, within our aggregate study population over the study period . However, TEAM UP was associated with a relative increase in any MH service use , which reflected increases in therapy visits and decreases in consultation visits and testing visits . On average, across our full study population, psychotropic medication use, stimulant medication use, and polypharmacy all increased over the study period . However, increases in psychotropic medication use were smaller for TEAM UP patients, who were 0.4% less likely to have any psychotropic medication, 0.4% less likely to have any stimulant use, and 0.3% less likely to have polypharmacy, compared with patients at comparison FQHCs, following TEAM UP implementation.
Rates of service use for every MH service category decreased over the study period, whereas rates of psychotropic medication use increased . However, TEAM UP was associated with an additional 309.8 therapy visits per 1000 patients per quarter and no statistically significant change in overall MH service use. TEAM UP patients were also 1.2% less likely to use stimulants and 0.7% less likely to have polypharmacy than patients at comparison FQHCs following TEAM UP implementation.
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